Healthcare Provider Details

I. General information

NPI: 1740237551
Provider Name (Legal Business Name): ASHOK K. KESWANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 MANTUA PIKE STE 104
WOODBURY HEIGHTS NJ
08097-1248
US

IV. Provider business mailing address

992 MANTUA PIKE STE 104
WOODBURY HEIGHTS NJ
08097-1248
US

V. Phone/Fax

Practice location:
  • Phone: 609-845-5645
  • Fax:
Mailing address:
  • Phone: 856-845-5645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA06840700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: